Why is there no menstruation after laser treatment for cervical erosion?

Nov 15, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

No menstruation after laser treatment for cervical erosion may be caused by surgical stress response, excessive mental stress, endocrine disorders, intrauterine adhesions, or polycystic ovary syndrome. This condition can be improved through psychological adjustment, careful observation and nursing care, or medication. If menstruation is delayed for more than two weeks or accompanied by abdominal pain, prompt medical attention is necessary. Laser surgery may trigger a temporary stress response in the body.

Cervical erosion treated with laser therapy may lead to missed periods due to surgical stress, excessive mental stress, endocrine disorders, intrauterine adhesions, or polycystic ovary syndrome. These conditions can be improved through psychological adjustment, observation and care, or medication. If menstruation is delayed for more than two weeks or accompanied by abdominal pain, prompt medical attention is necessary.

1. Surgical Stress Response: Laser surgery may trigger a temporary stress response in the body, affecting hormone secretion and causing a transient delay in menstruation, without other significant discomfort. It is recommended to get adequate rest, avoid fatigue, maintain a balanced diet rich in nutrients, and observe for 1–2 menstrual cycles, during which most cases will recover spontaneously.

2. Excessive Mental Stress: Postoperative anxiety about recovery or emotional stress can disrupt the hypothalamic-pituitary-ovarian axis, leading to menstrual irregularities. It is advised to relieve stress through listening to music, moderate exercise, maintaining regular sleep patterns, and avoiding excessive worry.

3. Endocrine Disorders: Fluctuations in hormone levels after surgery, such as imbalances in estrogen and progesterone, may interfere with endometrial shedding, resulting in absent menstruation, possibly accompanied by breast tenderness and fatigue. Under medical guidance, medications such as progesterone capsules, estradiol valerate tablets, or dydrogesterone tablets may be used to alleviate symptoms.

4. Intrauterine Adhesions: Surgical trauma may cause adhesion of the uterine lining, obstructing menstrual blood flow. This presents as absent menstruation along with cyclical lower abdominal pain. Under medical supervision, treatment may include estradiol valerate tablets, enteric-coated aspirin tablets, or Gynecological Qianjin tablets to improve symptoms.

5. Polycystic Ovary Syndrome (PCOS): Pre-existing hormonal metabolic abnormalities may worsen under post-surgical stress, leading to infrequent menstruation or amenorrhea, often accompanied by hirsutism and acne. Follow doctor’s instructions to use medications such as ethinylestradiol cyproterone acetate tablets, drospirenone-ethinyl estradiol tablets, or metformin sustained-release tablets to manage symptoms.

Maintain external genital hygiene and change underwear frequently. Avoid sexual intercourse too soon after surgery. Eat a light, easily digestible diet rich in fresh fruits and vegetables, and engage in moderate exercise to strengthen physical health and support stable hormonal recovery.

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